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Dilnip 10 MG Tablet Health Feed

Asked for male, 25 years old from Meerut
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I am 59 years old having ckd with hypertension. My latest test reports says that my s.creatinine - 0.76,bl. Urea-57, haemoglobin - 8.10, serum potassium-4.9 and serum sodium-141 and urine test were as follows. Albumin - 4+ and rbc-10-12 sugar - nil crystal- nil casts - nil pus cell - 0-2 and epithelial cells-nil. My blood pressure remains 135/80 always. I measure it every 4 hours at home but it remains in the same range 130-35/75-80. I am prescribed following medicines 1. Tablet cilnidipine 10 mg once daily 2. Tablet zytanix 2.5 mg twice daily 3. Tab. Dytor 20 mg twice daily. 5. Tablet atorva-e 10+10 mg once daily but I am depressed with the increasing proteinuria even after treatment from calcium channel blocker and diuretics combination. Two months before my albumin in urine was - + only but now its 4+. Earlier I was taking azilsartan 80 mg + amlodipine 5 mg but these drugs caused hyperkalemia so my doctor stopped it as my serum k was 6.4. He switched me to cilnidipine but since then my urine albumin has increased but bp control is better than azilsartan + amlodipine combo. So my question is does cilnidipine controls proteinuria or not? Do I need arb or acei class for controlling proteinuria or this 4th gen ccb (cilnidipine) will work for it. My doctor is not in favour of arb and acei class as it may cause hyperkalemia again. So please suggest should I continue with cilnidipine. If yes please suggest best medicine to bring down the urine albumin to minimum levels. Please help as I am very much depressed after seeing my results .also severe edema is there due to protein loss. Please help. I beg.

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MS - General Surgery

General Surgeon•
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Your doctor did a good thing cilindipine will reduce protenuria but will take time to recover you need to give time for any drug.
Asked for male, 47 years old from Trivandrum
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Asked for Male, 30 years old from Chikhli
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MBBS

General Physician•Mumbai
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For pain take tablet paracetamol 650 mg and I will suggest you to take injection vitcofol 2cc intramuscularly every alternate days for five pricks over the buttocks through a health professional and followup on completion for further guidance
741 people found this helpful
Asked for male, 47 years old from Trivandrum
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BHMS

Homeopath•Hyderabad
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You need to review your case with your doctor (for a through clinical evaluation and some tests) to help manage your high BP. It needs to be analysed with a fresh perspective. Please try to change your lifestyle (add Yoga into daily routine) which can help natural healing. You can also take Homeopathy which can help to restore harmony. You can contact me for a private consultation with all the previous and present reports.
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MBBS, MD-General Medicine, DM - Cardiolo...read more

Cardiologist•Secunderabad
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Multivitamins are not replacements for medications. Agreed that by diet and lifestyle modifications, you can reduce your BP to some extent. But if your BP still remains high you need to take your medicines. At 144/90 I may ask you to continue with diet and lifestyle routines for some more time. But you have to maintain strict diet and regular healthy lifestyle. But if your BP still remains high then you have to take your BP meds. At the same time you need to rule out certain underlying condition...more
99 people found this helpful
Asked for male, 57 years old from Delhi
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BHMS, MD - Homeopathy

Homeopath•Bhubaneswar
Advance age, hb-9.5gm. I think nutrition is not as need of the patient than the adverse effect sodium valproate & cilnidipine in old age. Frequent and regular diet then after one week reduce the dose of said medicine slowly.
47 people found this helpful
Asked for Male, 43 years old from Bangalore
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Mr. lybrate-user, Thanks for the query.
It is good to see that both BP and blood glucose are fairly well controlled. Increase in microalbuminuria and creatinine suggests that kidney are getting affected mostly due to diabetes.
One of the group of drugs recommended for hypertension with diabetes is ACE-Inhibitors like Lisinopril, Enalepri or ARBs like Losartan, Telmisartan or Olmesartan etc. Thanks.
Asked for male, 49 years old from Kollam
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
Mr. lybrate-user, thanks for the query.
Usually with TSH < 10 mU/L, no treatment is advocated. However, if there are troublesome symptoms are present then treatment is given. In your case symptoms like constipation, fatigue and cold intolerance as well as weight increase are indicating that there is a need for treatment. Your BP is also not in good control (ideally with treatment it should be 120 to 130 / 70 to 80 mmHg). Thanks.
Asked for male, 62 years old from Bhubaneswar
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MBBS

General Physician•Mumbai
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Few things regarding headache so that we can plan treatment accordingly 1) If pain is associated with blurred or decreased vision than check your eyesight for refractive error 2) If the pain is pulsatile in nature and with a throbbing pain usually with an aura than we have to rule out Migrane as the cause and 3) If the pain is associated with neck problems than we have to rule out cervical spondylosis as the cause 4) If the pain is associated with either a low or high BP or due to hyperacidit...more
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